Laserfiche WebLink
Laboratories Inc. I <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Forth for 1635541 Paae 2 of 2 <br />BC LABORATORIES INC. COOLER RECEIPT FORM Page Of <br />Submission #: <br />SHIPPING INFORMATION <br />Fed Ex ❑ UPS ❑ Ontrac ❑ Hand Delivery ❑ <br />BC Lab Field Service Other ❑ (Specify) <br />SHIPPING CONTAINER <br />Ice Chest None ❑ Box ❑ <br />Other ❑ Specify) <br />FREE LIQUID <br />YES ❑ NO ❑ <br />W / S <br />Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br />Custody Seals(c�e <br />Ctl�st:© <br />None Comments: <br />All samples received? Y No ❑ All samples containers intact? Yes No O Description(s) match COC? YPSO No O <br />COC Received Emissivity: Container: Thermometer ID' Date/TimSaoe 0 <br />YES ❑ NO Tem erature: (A) i c -C ! (C ) "C Analyst Init <br />SAMPLE NUMBERS <br />SAMPLE CONTAINERS e s to <br />I 2 3 4 5 6 7 <br />T PE UNPRES <br />4oz / Soz / 16oz PE UNPRES <br />2oz Cr" <br />T INORGANIC CHEMICAL METALS <br />INORGANIC CHEMICAL METALS 4oz / Box / 16oz <br />PT CYANIDE <br />PT NITROGEN F0MAS -- - <br />PT TOTAL SULFIDE <br />2oz. NITRATE / NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT CHEMICAL OXYGEN DEMAND <br />NA PHENOLICS <br />40.1 VOA VIAL TRAVEL BLANK <br />40ml VOA VIAL <br />T EPA 1664 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40 ml VOA VIAL- 504 <br />T EPA $08/608/8080 <br />T EPA 515.1/8150 <br />T EPA 525 — <br />T EPA 525 TRAVEL BLANK <br />40.1 <br />.. _— <br />EPA 547 <br />... <br />- <br />40.1 <br />EPA 531.1— <br />Sm <br />EPA 548 -- — — <br />T EPA 549 - <br />QT <br />EPA 8015M — - — <br />T EPA 8270 - '-- <br />80z/l6oz/32oz <br />AMBER <br />80z <br />— <br />/ 16oz t 32oz JAR - -- -- --- -' -"—" <br />SOIL <br />_— _ - <br />SLEEVE —_ __ ---. ---- — <br />PCB <br />VIAL <br />PLAST[C <br />--- <br />BAG .-- --- — —.--- - <br />TEDLAR <br />_ <br />fERROUS[RON--- <br />__— <br />'ENCORE <br />SMART KIT <br />SUMMA CANISTER—_— <br />:omments' - -- - ---- --- '-- 0.ev 27 051278076 <br />the results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. <br />1 All results listed in this report are for the exclusive use of the submitting party. DC Laboratories, Inc assumes no responsibility for report alteration, separation, detachment or third party inte pretation. <br />Report ID: 1000557340 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />